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Montana rates for HCPCS 54411

Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected tissue

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,614.21 / $1,614.21 / $1,614.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$798.60 / $1,914.25 / $1,962.65